1st Cardiology Clinic, 'Hippokration' General Hospital, School of Medicine, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Department of Cardiology, General Hospital of Athens "G. Gennimatas", 11527 Athens, Greece.
Int J Mol Sci. 2021 Dec 21;23(1):6. doi: 10.3390/ijms23010006.
Atrial fibrillation (AF) is the most frequent arrhythmia managed in clinical practice, and it is linked to an increased risk of death, stroke, and peripheral embolism. The Global Burden of Disease shows that the estimated prevalence of AF is up to 33.5 million patients. So far, successful therapeutic techniques have been implemented, with a high health-care cost burden. As a result, identifying modifiable risk factors for AF and suitable preventive measures may play a significant role in enhancing community health and lowering health-care system expenditures. Several mechanisms, including electrical and structural remodeling of atrial tissue, have been proposed to contribute to the development of AF. This review article discusses the predisposing factors in AF including the different pathogenic mechanisms, sedentary lifestyle, and dietary habits, as well as the potential genetic burden.
心房颤动(AF)是临床实践中最常见的心律失常,与死亡、中风和外周栓塞的风险增加有关。《全球疾病负担》显示,AF 的估计患病率高达 3350 万患者。到目前为止,已经实施了成功的治疗技术,但医疗保健费用负担沉重。因此,确定 AF 的可改变危险因素和适当的预防措施可能在提高社区健康和降低医疗保健系统支出方面发挥重要作用。已经提出了包括心房组织的电和结构重构在内的几种机制,这些机制有助于 AF 的发展。本文综述了 AF 的易患因素,包括不同的发病机制、 sedentary lifestyle 和饮食习惯,以及潜在的遗传负担。